Individual provider · Type 1 NPI

Theresa Ann Ganoe, ACNP-BC

Nurse Practitioner · Manassas, VA

NPI number 1316290083 Active

Practice location

8700 Sudley Rd
Manassas, VA 20110

Fax (703) 396-5297

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200X0024171161 (VA)
Acute Care Nurse Practitioner 363LA2100XRN1005293 (DC)
Nurse Practitioner Primary 363L00000X0024171161 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316290083

Theresa Ann Ganoe, ACNP-BC's National Provider Identifier is 1316290083, issued on Oct 18, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manassas, VA. The record was last updated on Aug 22, 2018.